CAJ | 학술논문

目的：探讨社区康复指导对糖尿病患者治疗依从性和血糖的影响。方法选择社区管理的2型糖尿病患者106例为研究对象，均给予1年康复指导。随访8个月，观察患者指导前后空腹血糖（FPG）、餐后2 h 血糖（2 hPG）、糖化血红蛋白（HbA1c）变化及治疗依从性。结果106例患者经康复指导，服药依从、合理饮食、定期复查、自我监测及运动锻炼等治疗依从性均较指导前显著提高（ P ＜0．01）；FPG、2 hPG 及 HbA1c 均较指导前显著降低（ P ＜0．01）。结论社区康复指导有助于提高糖尿病患者治疗依从性，有效控制血糖水平，值得临床推广应用。
목적：탐토사구강복지도대당뇨병환자치료의종성화혈당적영향。방법선택사구관리적2형당뇨병환자106례위연구대상，균급여1년강복지도。수방8개월，관찰환자지도전후공복혈당（FPG）、찬후2 h 혈당（2 hPG）、당화혈홍단백（HbA1c）변화급치료의종성。결과106례환자경강복지도，복약의종、합리음식、정기복사、자아감측급운동단련등치료의종성균교지도전현저제고（ P ＜0．01）；FPG、2 hPG 급 HbA1c 균교지도전현저강저（ P ＜0．01）。결론사구강복지도유조우제고당뇨병환자치료의종성，유효공제혈당수평，치득림상추엄응용。
Objective To discuss the influence of the community rehabilitation guidance on the blood glucose levels in diabet -ic patients.Methods One hundred and six patients with type 2 diabetes under the community management were selected as the re -search objects and were given a 1-year rehabilitation guidance and a 8-month follow-up.Fasting blood glucose (FPG),2 h postprandial blood glucose (2 hPG), glycosylated hemoglobin and treatment compliance before and after the guidance were observed .Results After the guidance, indexes of medication compliance ,reasonable diet,regular check,self monitoring,exercise improved significantly ( P <0.01),FPG,2 hPG,glycosylated hemoglobin guidance were obviously lower than that before the guidance ( P <0.01).Conclusion Community rehabilitation guidance can help to improve the compliance of patients with diabetes and effectively control blood glucose level.